RECRUITING

Fall Risk Identification and Management for Older Veterans

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

Falls are a common occurrence among older adults, and Veterans have an even higher risk of falling compared to non-Veterans. These falls often lead to severe health consequences, including traumatic brain injuries, hip fractures, emergency visits, hospitalizations, and even death. It is crucial to prioritize fall prevention in order to reduce injuries and enable older Veterans to age comfortably at home. Although current fall prevention programs in the Veterans Health Administration primarily focus on inpatient care and nursing homes, there is a pressing need to address falls among older Veterans living independently in the community. The proposed VA-specific Fall Risk Identification and Management (FRIM) model aims to proactively prevent falls in older Veterans who receive primary care, effectively reducing the occurrence of adverse health events associated with falls. By placing emphasis on prevention rather than reacting after falls have already happened, this initiative seeks to significantly enhance the overall well-being of older Veterans.

Official Title

Development of a Fall Risk Identification and Management Model for Older Veterans

Quick Facts

Study Start:2024-11-18
Study Completion:2029-09-30
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06573983

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:65 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Screens positive for increased fall risk within GeriPACT, or generalPACT as needed, (answers "yes" to any of 3 screening questions)
  2. * 65 years of age and older
  3. * Positive screen on at least two fall risk factor assessments
  4. * Access to telehealth
  5. * Availability of an additional adult (e.g., caregiver or family member) to be present during the physical assessment
  1. * Life expectancy \<12 months, as determined by PCP
  2. * Neurological diagnosis (e.g., cerebral vascular accident, multiple sclerosis, Parkinson's Disease)
  3. * Moderate cognitive impairment (\<13 on telephone Montreal Cognitive Assessment (MoCA-BLIND) or \<18 on MoCA Full administered during clinic visit in the previous 3 months)
  4. * Unstable condition that precludes safe participation in structured exercise (e.g., recent deep vein thrombosis) if expected fall risk factor is physical, as determined by PCP or chart review
  5. * Participation in any intervention components of the FRIM model within the past 6 months
  6. * Currently using a wheelchair for mobilization

Contacts and Locations

Study Contact

Alexander J Garbin, PhD DPT
CONTACT
(563) 340-7121
Alexander.Garbin@va.gov
Jennifer E Stevens-Lapsley, PhD
CONTACT
(303) 949-9304
Jennifer.Stevens-Lapsley@va.gov

Principal Investigator

Alexander J Garbin, PhD DPT
PRINCIPAL_INVESTIGATOR
Rocky Mountain Regional VA Medical Center, Aurora, CO

Study Locations (Sites)

Rocky Mountain Regional VA Medical Center, Aurora, CO
Aurora, Colorado, 80045-7211
United States

Collaborators and Investigators

Sponsor: VA Office of Research and Development

  • Alexander J Garbin, PhD DPT, PRINCIPAL_INVESTIGATOR, Rocky Mountain Regional VA Medical Center, Aurora, CO

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-11-18
Study Completion Date2029-09-30

Study Record Updates

Study Start Date2024-11-18
Study Completion Date2029-09-30

Terms related to this study

Keywords Provided by Researchers

  • Falls
  • Telerehabilitation
  • Multifactorial
  • Preventative
  • Personalized

Additional Relevant MeSH Terms

  • Fall Risk